Tag Archives: EKG

77 year old female CC: Chest pain

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EMS is called to a residence on a horse farm for a 77 year old female with chest pain. On arrival, the patient is found sitting on a wooden bench. She appears anxious and acutely ill. Skin is warm, flushed and diaphoretic. She is rubbing her chest. Onset: 20 minutes prior to 9-1-1 call Provoke: […]

66 year old female CC: Chest pressure

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66 year old female who was awoken from sleep with substernal chest pressure.

71 year old male CC: Chest pain – Conclusion

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This is the conclusion to 71 year old male CC: Chest pain. Thanks for all the great comments! Let’s take another look at the 12-lead ECG. This 12-lead ECG shows acute anterior ST-elevation myocardial infarction. Significant ST-elevation is present in leads V2-V5, I and aVL with reciprocal ST-depression in leads III and aVF. A “STEMI […]

71 year old male CC: Chest pain

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EMS is called to the residence of a 71 year old male with a chief complaint of chest discomfort. On arrival patient is found standing at the front door. He appears anxious and acutely ill. Skin is cool, pale and diaphoretic. Onset: “Fairly sudden” 30 minutes prior to 9-1-1 call Provoke: Nothing makes the pain […]

Found on the LIFENET 03/2011

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Let’s presume the chief complaint is chest discomfort.

79 year old female CC: Chest pain

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Here’s a cool case from a faithful reader named Mike M. EMS is called to evaluate a 79 year old female with a chief complaint of chest pain. Onset: Sudden while watching TV Provoke: Nothing makes the pain better or worse Quality: “Heavy” Radiate: The pain does not radiate Severity: 7/10 Time: About 30 minutes […]

39 year old male CC: "Sick"

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Upon arriving on scene, we find a 39-year-old male patient seated upright on an examination bench. He is alert and oriented x4, with slightly moist and warm skin, otherwise appearing free of distress.

56 year old female with a "cardiac disorder"

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Here’s an interesting case submitted by Mike from Massachusetts. Here’s the story in Mike’s own words: EMS is contacted by a local rehabilitation facility for a female patient with a cardiac disorder. Initial dispatch is an ALS ambulance, ALS squad, and a BLS engine company. Approximately 20 minutes prior to EMS arrival, patient began experiencing […]

55 year old male CC: Chest pain?

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EMS is called to a local urgent care center for a 55 year old male with chest pain. On arrival, a patient care technician states that the patient is experiencing a hypertensive crisis. He has already received SL NTG x3 but his BP is still 180/118. The physician states that he is also worried about […]

76 year old female CC: Diminished LOC – Discussion

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Here’s the follow-up to 76 year old female CC: Diminished LOC. Be sure to check out all the awesome comments on the case! Let’s take another look at the 12-lead ECG. There’s something very unusual about this heart rhythm. It’s slow, there are no P-waves, and the QRS complexes are extremely wide (> 200 ms). […]

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